eMedinewS22nd February 2014,Saturday

Dr K K AggarwalPadma Shri and Dr B C Roy National Awardee

Dr KK Aggarwal

President, Heart Care Foundation of India; Sr Consultant Physician, Cardiologist & Dean Medical Education Moolchand Medcity; Editor in Chief IJCP Group, National Vice President Elect, Indian Medical Association; Chairman Ethical Committee Delhi Medical Council, Hony. Visiting Professor (Clinical Research) DIPSAR; Chairman (Delhi Chapter) International Medical Sciences Academy (March 10–13); Hony Director IMA AKN Sinha Institute (08–09); Hony Finance Secretary National IMA (07–08); Chairman IMA Academy of Medical Specialties (06–07); President Delhi Medical Association (05–06), President IMA New Delhi Branch (94–95, 02–04);
For updates follow at
www.twitter.com/DrKKAggarwal
www.facebook.com/Dr KKAggarwal

Smoking may dull taste buds

Smoking dampens the ability to taste. In a study published in the journal BMC Ear, Nose and Throat Disorders, doctors used electrical stimulation to test the taste threshold of 62 Greek participants. Applying an electrical current to the tongue generates a unique metallic taste.

Measuring the amount of current required before a person perceives this taste enables researchers to determine taste sensitivity. The 28 smokers in the study scored worse on this test than the 34 non–smokers. The doctors than measured the number and shape of a type of taste bud called fungiform papillae.

They found that the smokers had flatter fungiform papillae, with a reduced blood supply. Nicotine may cause functional and morphological alterations of papillae, at least in young adults.

Dr K K Aggarwal on Zee TV

cpr10 Mantra The CPR 10 Mantra is – "within 10 minutes of death, earlier the better; at least for the next 10 minutes, longer the better; compress the centre of the chest of the dead person continuously and effectively with a speed of 10×10 i.e. 100 per minute."

cpr 10 mantra
VIP’s on CPR 10 Mantra Video
eMedinewS
Ringtone – CPR 10 Mantra Hindi
Ringtone – CPR 10 Mantra English

All about depression

sprritual blog

• Depression is a major public health problem as a leading predictor of functional disability and mortality.
• Optimal depression treatment improves outcome for most patients.
• Most adults with clinical significant depression never see a mental health professional but they often see a primary care physician.
• A non–psychiatric physician 50% of times misses the diagnosis of the depression.
• All depressed patients must be enquired specifically about suicidal ideations.
• Suicidal ideation is a medical emergency
• Risk factors for suicide are psychiatric known disorders, medical illness, prior history of suicidal attempts or family history of attempted suicide.
• The demographic reasons include older age, male gender, marital status (widowed or separated) and living alone.
• About 1 million people commit suicide every year globally.
• Around 79% of patients who commit suicide contact their primary care provider in the last one year before their death and only one-third contact their mental health service provider.
• Twice as many suicidal victims had contacted their primary care provider as against the mental health provider in the last month before suicide.
• Suicide is the 10th leading cause of death worldwide and accounts for 1.2% of all deaths.
• The suicide rate in the US is 10.5 per 100,000 people.
• In the US, suicide is increasing in middle aged adults.
• There are 10–40 non–fatal suicide attempts for every one completed suicide.
• The majority of suicides completed in US are accomplished with fire arm (57%), the second leading method of suicide in US is hanging for men and poisoning in women.
• Patients with prior history of attempted suicide are 5–6 times more likely to make another attempt.
• Fifty percent of successful victims have made prior attempts.
• One of every 100 suicidal attempt survivors will die by suicide within one year of the first attempt.
• The risk of suicide increases with increase in age; however, young adults and adolescents attempt suicide more than the older.
• Females attempt suicide more frequently than males but males are successful three times more often.
• The highest suicidal rate is amongst those individuals who are unmarried followed by those who are widowed, separated, divorced, married without children and married with children in descending order.
• Living alone increases the risk of suicide.
• Unemployed and unskilled patients are at higher risk of suicide than those who are employed.
• A recent sense of failure may lead to higher risk.
• Clinicians are at higher risk of suicide.
• The suicidal rate in male clinicians is 1.41 and in female clinicians it is 2.27.
• Adverse childhood abuse and adverse childhood experiences increase the risk of suicidal attempts.
• The first step in evaluating suicidal risk is to determine presence of suicidal thoughts including their concerns and duration.
• Management of suicidal individual includes reducing mortality risk, underlying factors and monitoring and follow up.
• Major risk for suicidal attempts is in psychiatric disorder, hopelessness and prior suicidal attempts or threats.
• High impulsivity or alcohol or other substance abuse increase the risk.

cardiology news

Atmosphere & Attitude

"I’ve lost count of how many times I’ve spoken at Amway meetings around the world. But I never forget the positive charge of energy I get at these gatherings. I just spoke to an arena full of independent business owners for Quixtar, the Web-based business in North America that was formerly Amway. Nothing has changed from the audiences of Amway distributors that I started speaking to more than 40 years ago. They’re excited about building something of their own and positive about their future. It’s impossible to be negative in this crowd. A positive attitude is contagious.

One of the first motivational speeches I gave was called "White Heat." I used the example of the Apostle Paul as someone who had a white hot conviction for his mission. Whether spreading the Gospel to cities throughout the Mediterranean, promoting a new product, starting a business, running for office, or winning a game, all achievements in life begin with a positive attitude – the faith that we can do it.

I’ve never stopped encouraging people to discover the power of a positive attitude. I spoke recently at a sixth–grade graduation ceremony and delivered one of the talks I’ve been giving for decades called "The Three A’s: Atmosphere, Attitude and Action." We can choose to put ourselves in a positive atmosphere that encourages a positive attitude that leads to positive action. I told them they can stay with friends who tell them they can't or choose friends who tell them they can.

I was speaking to another class of sixth–graders about my heart transplant and the topic led to a discussion about fears. One girl said she was afraid of the dark. I told her I was afraid of the dark, too. We all have dark areas in life that we fear – illness, job loss, financial worries, and doubts about our abilities, the state of our economy or the world’s environment.

But if we keep a positive attitude, we discover the light that God has put in our hearts to overcome the darkness. For most of my life I’ve been telling people that they can do it and watching them succeed in ways as positive as their attitudes.

News Around The Globe

  • The PIONEER study, published in the February issue of the Journal of Thoracic Oncology found EGFR mutations at a rate of 51.4% overall. The study included 1482 patients with non–small cell lung cancer (NSCLC) from 7 Asian regions. The finding suggests that about half of Asian patients with NSCLC have EGFR mutations, and so are candidates for EGFR–targeted therapies such as erlotinib (Tarceva) and gefitinib (Iressa) and similar agents.
  • Women with advanced cervical cancer gained almost 4 months of life when treated with chemotherapy plus bevacizumab (Avastin), investigators report in a study in New England Journal of Medicine. The median overall survival was 17 months with bevacizumab versus 13.3 months with chemotherapy alone. The addition of bevacizumab led to a higher response rate but also was associated with more toxicity. Pairing bevacizumab with platinum-based or nonplatinum chemotherapy did not significantly affect the results.
  • In a small study, 10 severely obese patients with uncontrolled type 1 diabetes who underwent bariatric surgery not only shed pounds, they also had improved glycemic control and a better metabolic profile 3 years later. The results were published online Feb 20 in a letter to the editor in Diabetes Care.
  • A new algorithm accurately estimates the risk for serious adverse events in patients who come to emergency departments with chronic obstructive pulmonary disease (COPD). The findings are published online February 18 in the Canadian Medical Association Journal.
  • Women transitioning into menopause saw their waist circumference decrease, diastolic blood pressure fall, and frequency of self–reported hot flashes decline after participation in a 6–month individualized intervention program to control central obesity, reports a study in Menopause.

CPR 10 success stories

1. Hands–only CPR 10 English

2. Hands–only CPR 10 (Hindi)

3. Ms Geetanjali, SD Public School Successful Story

4. Success story Ms Sudha Malik

5. BVN School girl Harshita does successful hands–only CPR 10

6. Elderly man saved by Anuja

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Rabies News (Dr. A K Gupta)

If a person is on antimalarials or steroids or taking immunosuppressant drug, what is the schedule?

The vaccine on Day 0 (first injection) must be doubled and given at two sites (deltoids or thigh in young children). In category II exposures, it is recommended to administer even RIGs along with vaccine. Rest of the schedule is same as for any other patient.

cardiology news

All about death by hanging

  • Hanging is the simplest and yet highly effective method used by people who commit suicide.
  • It is the most common cause of suicide after poisoning in women and after gunshot injury in men.
  • Hanging accounts for 53% of suicides in males and 39% in females.
  • It has a high mortality rate up to 70%.
  • The materials required are easily available and of wide range and therefore it is difficult to prevent.
  • Hanging can be suspension hanging or drop hanging.
  • Suspension hanging is hanging of the body by the neck and drop hanging involves calculated drop to break the neck.
  • In suspension hanging, a person takes 10 to 20 minutes to die resulting into a painful death. Materials used are rope, bed sheet, shoe laces, telephone extension cables, thread of the chairs/mattresses.
  • Suspension hanging causes compression of carotid artery, jugular veins and the airway.
  • In suspension hanging, 5 kg of pressure is required to compress the carotid artery; 2 kg of pressure is required to compress the jugular veins and 15 kg of pressure is required to compress the airway. Unconsciousness occurs in 5 to13 seconds.
  • Full suspension is not necessary, even with partial suspension a person can die.
  • Near hanging is the term used for those who survive.
cardiology news

(Dr KK Aggarwal, Group Editor in Chief, IJCP Group of Publications and eMedinewS)

  • Transcranial Doppler (TCD) saline studies were better than transesophageal echocardiography (TEE) at identifying patent foramen ovale (PFO), even large PFOs, in patients with cryptogenic stroke, a new study shows, and may allow risk stratification that could guide decisions on whether or not to consider PFO closure. The results were presented at the American Stroke Association International Stroke Conference (ISC) 2014 by J. David Spence, MD, director of the Stroke Prevention and Atherosclerosis Research Centre, Robarts Research Institute at the University of Western Ontario, London, Canada and coauthors. TEE is still required for defining other cardiac causes of stroke, such as left atrial appendage thrombus or valve problems.
  • An implanted cardiac monitor was much more effective at picking up atrial fibrillation (AF) than standard monitoring in patients with cryptogenic stroke in the CRYSTAL–AF trial. Because AF is one of the most important risk factors for stroke and the risk can be reduced greatly with anticoagulation therapy, such monitoring could bring about a significant reduction in recurrent stroke rates, researchers say. The trial findings were presented at the American Stroke Association's (ASA’s) International Stroke Conference (ISC) 2014.
cardiology news

(Dr KK Aggarwal, Group Editor in Chief, IJCP Group of Publications and eMedinewS)

  • Nebulized steroids are not effective for preventing viral wheezing in young kids, nor do they reduce symptoms of upper respiratory tract infection, according to an Italian study published online February 17 in Pediatrics.
  • In an open–label, pragmatic, randomized trial, hydrocortisone–bacitracin–colistin eardrops cleared the discharge in children with acute uncomplicated otorrhea within 2 weeks in 95% of children with tympanostomy tubes. The study is reported in the Feb. 20 issue of the New England Journal of Medicine.
cardiology news

Total CPR since 1st November 2012 – 86664 trained

Media advocacy through Web Media

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press release

Delivering a lecture on ‹Science Behind Rituals and Festivals’, Padma Shri, Dr. B C Roy National Awardee & DST National Science Communication Awardee, Dr. K K Aggarwal, President Heart Care Foundation of India and Sr National Vice President Indian Medical Association said that most new epidemics of the society can be controlled and reversed if traditional rituals and festivals are re-taught to the public in scientific ways.

Dr. Aggarwal said that the science behind Santoshi Maata Ka Vrat was to prevent development of anemia in women of child bearing age group. The ritual was to eat Gur and Chana once in a week so that iron present in gur and protein in chana can be consumed and iron deficiency anemia can thus be prevented.

The weekly fast of eating no cereals was meant to prevent pot belly obesity, diabetes, blood pressure and heart disease. It is now proven that people who omit carbohydrates 80 days in a year do not get pot belly obesity and resultant heart disease.

The ritual of holy bath for one month in a year specifically in the months of Magh, Vaishakh and Kartik was meant to get enough vitamin D so that a person does not develop vitamin D deficiency, has been found to be which is currently a new epidemic of the society. Today low vitamin D is associated with high blood pressure and heart diseases apart from weak bones.

The lecture was attended by over 70 members of Rotary Club of Delhi Rajdhani. Mr. Rajesh Gupta, President and Mr. Harjit Trehan, Hon. Secretary also spoke on the occasion.

About HCFI : The only National Not for profit NGO, on whose mega community health education events, Govt. of India has released two National Commemorative stamps and one cancellation stamp, and who has conducted one to one training on" Hands only CPR" of 86664 people since 1st November 2012.

The CPR 10 Mantra is – "Within 10 minutes of death, earlier the better; at least for the next 10 minutes, longer the better; compress the centre of the chest of the dead person continuously and effectively with a speed of 10×10 i.e. 100 per minute."

emedipicstoday emedipics

Mega heart checkup camp at Sagar, Madhya Pradesh 20th February 2014

press release

Obesity reduces life expectancy

vedio of day

today video of the dayHands only CPR 10 Utsav,15th December 2013

Dr KK Aggarwal receives Harpal S Buttar Oration Award from Nobel Laureate Dr Ferid Murad

Padma Shri & Dr B C Roy National Awardee,Dr KK Aggarwal on Tackling tension headaches

eMedi Quiz

The substances present in the gall bladder stones or the kidney stones can be best identified by the following technique:

1.Fluorescence spectroscopy.
2.Electron microscopy.
3.Nuclear magnetic resonance.
4.X–ray diffraction

Yesterday’s Mind Teaser: : A patient using contact lens develops corneal infection. Laboratory diagnosis of acanthamoeba keratitis was established. The following is the best drug for treatment:
1. Propamidine.
2. Neosporine.
3. Ketoconazole
4. Polyhexamethylene biguanide.

Answer for yesterday’s Mind Teaser: 2. Sympathetic ophthalmia.

Correct answers received from: Dr.K.Raju,Daivadheenam Jella,Dr,Bitaan Sen &Dr.Jayashree Sen,Dr B K Agarwal,Arvind Gajjar,Dr.Pravin P. Gore,Dr.P.C. Das,Dr Jainendra Upadhyay,Dr Pankaj Agarwal,Dr.(Maj. Gen.)Anil Bairaria,Anil Tandon,Dr shashi saini

Answer for 19th February Mind Teaser:1. Propamidine.

Correct answers received from: Dr.(Maj.Gen.)Anil Bairaria,Anil Tandon

Send your answer to ijcp12@gmail.com

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centralbank
medicolegal update

Click on the image to enlarge

medical querymedical query

medicolegal update
medicolegal update

A walking economy

This guy is walking with his friend, who happens to be a psychologist. He says to this friend, "I’m a walking economy."

The friend asks, ‘How so?"

"My hairline is in recession, my stomach is a victim of inflation, and both of these together are putting me into a deep depression!"

medicolegal update

Click on the image to enlarge

medicolegal updatemedicolegal update

medicolegal update

Situation: A patient on amlodipine developed severe gum hypertrophy.
Reaction:Oh my God! Why was amlodipine not stopped?
Lesson: that all patients on amlodipine are watched for gum hypertrophy. Gingival hyperplasia is a known side effect of amlodipine.

medicolegal update

True genius sees with the eyes of a child and thinks with the brain of a genie. Puzant Kevork Thomajan

medicolegal update

Dr KK Aggarwal: True genius sees with the eyes of a child and thinks with the brain of a genie. Puzant Kevork Thomajan http://bit.ly/15QdVeB #Health
Dr Deepak Chopra:If you can see it then it is not real. Reality is the invisible seer without which there is no seeing http://bit.ly/WAHF_Am #WAYHF

Forthcoming events

Date: Saturday 2PM-Sunday 3PM, 26–27 April 2014
Venue: Om Shanti Retreat Centre, Bhora Kalan, Pataudi Road, Manesar
Course Directors: Padma Shri and Dr B C Roy National Awardee Dr K K Aggarwal and BK Sapna
Organisers: Heart Care Foundation of India. Prajapati Brahma Kumari Ishwariye Vidyalaya and eMedinews
Facilities: Lodging and boarding provided (one room per family or one room for two persons). Limited rooms for first three hundred registrants.
Course: Meditation, Lectures, Practical workshops
Atmosphere: Silence, Nature, Pyramid Meditation, Night Walk
Registration: SMS– Vandana Rawat – 9958771177, rawat.vandana89@gmail.com
SMS – BK Sapna 9650692204, bksapna@hotmail.com

Note: Donation in Favor of Om Shanti Retreat Centre will be welcomed

medicolegal update
  1. Dear Sir,Very Informative News:Regards: Dr Karan

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